Active NPI
Sheneaka Blake Jackson, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1538301106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10455
- Practice address
- 5775 Airport Blvd
Suite 300
Austin, TX 78752-4218 - Phone
- (512) 451-0115
- Fax
- (512) 451-1208
- NPI assigned
- Mar 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10455 | TX | Primary |
Addresses
Primary practice location
5775 Airport Blvd
Suite 300
Austin, TX 78752-4218
Mailing address
5775 Airport Blvd
Suite 300
Austin, TX 78752-4218
Phone (512) 451-0115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10455 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Chiropractic and Rehab LLC | Chiropractor | Past | Accepting new patients |
| Wendee R. Whitehead PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Austin, TX
- NPI 1548572332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238284800000",
"number": "1538301106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 AIRPORT BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787524218",
"telephone_number": "512-451-0115",
"fax_number": "512-451-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 AIRPORT BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787524218",
"telephone_number": "512-451-0115",
"fax_number": "512-451-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SHENEAKA",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-29",
"last_updated": "2009-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.